Accident Report Detail

Accident Summary Nr: 201105905 - Employee Is Injured When Thrown from Forklift

Accident Summary Nr: 201105905 -- Report ID: 0950624 -- Event Date: 12/03/2004
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
125762286	04/28/2005	1795	238910	Kroeker

Abstract: At approximately 1:15 p.m. on December 3, 2004, Employee #1, a truck driver, and a coworker were using a flat bed truck to deliver an 8,000-gallon water tank to a dairy farm. The tank was removed from the truck with a forklift and Employee #1 climbed up onto the forks of the forklift to secure the tank with a chain. As he was manipulating the securing chain, the forklift became unstable and Employee #1 was thrown. He was transported to Doctor's Medical Center in Modesto California, where he was hospitalized and treated for a broken hip and wrist, and dislocated shoulder.

Keywords: FRACTURE, SHOULDER, INDUSTRIAL TRUCK, DISLOCATED, FALL, HIP, WORK SURFACE, TRUCK DRIVER, UNSTABLE LOAD, WRIST

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Other building		Demolition		Under $50,000	1	12

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	125762286			Hospitalized injury	Fracture	Truck drivers, heavy	Distance of Fall: feet Worker Height Above Ground/Floor: 12 feet Cause: Installing equipment (HVAC and other) Fatality Cause: Fall from/with structure (other than roof)

Thank You for Visiting Our Website

You are exiting the Department of Labor's Web server.

The Department of Labor does not endorse, takes no responsibility for, and exercises no control over the linked organization or its views, or contents, nor does it vouch for the accuracy or accessibility of the information contained on the destination server. The Department of Labor also cannot authorize the use of copyrighted materials contained in linked Web sites. Users must request such authorization from the sponsor of the linked Web site. Thank you for visiting our site. Please click the button below to continue.